NPIMap

Organization Active NPI

David and Deanne Witherspoon, Optometry, P.a.

  • Optometrist
  • Rogers, AR
National Provider Identifier
1851460430
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2313 Issued in AR
Legal business name
DAVID AND DEANNE WITHERSPOON, OPTOMETRY, P.A.
Practice address
5212 Village Pkwy
Suite 6
Rogers, AR 72758-8104
Phone
(479) 464-9702
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David E Witherspoon, O.D.
Title
President
Phone
(479) 464-9702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2313 AR Primary

Addresses

Primary practice location

5212 Village Pkwy
Suite 6
Rogers, AR 72758-8104

Mailing address

5212 Village Pkwy
Suite 6
Rogers, AR 72758-8104
Phone (479) 464-9702

National Provider Directory

National Provider Directory

Locations

5212 W Village Pkwy
Ste 6
Rogers, AR 72758
Phone (479) 464-9702

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1851460430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE PKWY",
            "address_2": "SUITE 6",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588104",
            "telephone_number": "479-464-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE PKWY",
            "address_2": "SUITE 6",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588104",
            "telephone_number": "479-464-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AND DEANNE WITHERSPOON, OPTOMETRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-464-9702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.